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Mat - you would be wise to find a medical clinic with a Revlite SI Q-switched YAG laser. Conbio/Candela have been manufacturing these lasers for almost 22 years and they have proven to be the safest and most reliable, especially with black ink. If your removal "stalls" after a few treatments you may want to change to the new PicoSure but there is probably little benefit in paying the extra on a black tattoo from the outset.
The QX-Max laser is a great tattoo laser with 1064nm, 532nm Green, 650nm Red and 585nm yellow light. It is extremely versatile for multiple tattoo inks and is the most powerful tattoo removal laser on the market. The Lutronic Spectra laser is also a good laser. Depending on your tattoo, both lasers could work well.
Seems like you got scarring and hypopigmentation from laser procedures. both are common after laser tattoo removal in dark skin. skin grafting is most likely not a good choice. as the area is large and the graft might get rejected. I do surgeries for tattoos. I can give u a better answer if you...
Unfortunately, your tattoo is too large for excision. There simply just isn't enough extra skin to remove it all. Even just removing the tail wouldn't be possible as the skin is quite tight in this area. Laser removal will also be challenging as your skin is darker.
I would recommend that you wait until you are healed up from the tattoo procedure. Other than that there is actually an advantage to begin treatment sooner than later since newer tattoos respond better to laser removal than older ones. If it is all black or mainly black, typically it is 4 to 8...
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